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Submitted on June 19, 2004
Accepted on October 20, 2004
From the Aventis Pharma Deutschland GmbH (Y.I., F.K., K.V., A. Busch, O.R., J.D.), DG Cardiovascular Research, Frankfurt am Main; and the Department of Internal Medicine II-Cardiology (S.S., A. Bucher, V.H., J.T.), University of Ulm, Germany.
* To whom correspondence should be addressed. E-mail: jan.torzewski{at}medizin.uni-ulm.de.
Objective--C-Reactive protein (CRP) is the prototype acute phase protein and a cardiovascular risk factor. Interleukin-1
(IL-1
) and IL-6 stimulate CRP synthesis in hepatocytes. We searched for additional pathways regulating CRP expression.
Methods and Results--Primary human hepatocytes (PHHs) were treated with IL-1
, IL-6, and protein kinase C (PKC) activator phorbol 12,13-dibutyrate (PDBu). CRP was analyzed by quantitative RT-PCR and ELISA. PDBu significantly induced CRP transcription by 21.0±9.24-fold and protein release by 2.9±0.5-fold. Transcriptional regulation was studied in detail in hepatoma G2 (HepG2) cells stably transfected with the 1-kb CRP promoter (HepG2-ABEK14 cells). In these cells, PDBu significantly induced CRP transcription by 5.39±0.66-fold. Competetive inhibition with bisindolylmaleimide derivative LY333531 abolished PDBu-mediated promoter activation. Competetive inhibition with I
B kinase inhibitor I229 also inhibited PDBu effects. Importantly, IL-8 significantly induced CRP release in PHHs by 58.675±19.1-fold, which was blockable by LY333531.
Conclusions--This study describes a novel PKC-dependent transcriptional regulation of CRP gene expression, which, in analogy to the classical IL-1
and IL-6 pathways, is operational in hepatocytes only. It also identifies IL-8 as a potential physiological PKC activator. HepG2-ABEK14 cells may be useful for high throughput screening to identify inhibitors of CRP synthesis for the prevention of cardiovascular disease.
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